Statewide Special Education Conference

 EARLY REGISTRATION FORM

Because conference space is limited we ask you to pre-register if possible.  Even if you plan to attend the free exhibits and general speakers only, we ask you to register early to be sure of having space to attend. Remember, we are a voluntary non-profit organization and your fees are deductible and go for a good cause...to help our children. It is because of your support that we can conduct these types of conferences.

TO REGISTER ON-LINE

Please print this form, then fill in and mail together with check as per instructions below

Please photo copy or reprint this form for multiple registrations


Name:(Please PRINT)________________________________________________________________________________________________________  

Address:(Please PRINT)_______________________________________________________________________________________________________    

City:(Please PRINT)_________________________________________________State:_________________Zip___________:____________________

Phone:(Please PRINT)___________________________  E-Mail:____________________________________________________________________

 Check Appropriate Box:         Professional  [  ]             Parent  [  ]


Free Admission to Exhibits, Reasonable Fees for Workshops and to receive CEU's

Early Workshop Registration Fees - Save Time - Register Now!

   Avoid waiting on line ---  Please Circle Your choice Below

FULL CONFERENCE ( Sat & Sun) to attend workshops

Fees

Professionals (CEU’s Offered)

$150

Parents (No CEU’s)

$110

Single Day Fees: 

Please Check which Day:          Sat:  [ ]        Sun:  [ ]   

Single day fee below

Workshops for Professionals (CEU’s Offered)

$105

Workshops for Parents (No CEU’s) $65

Exhibits, Keynote & Main Lectures Only (No CEU's)

No charge

Our Exhibit Hall plus our Keynote and General Speakers are FREE for all, But... You must still register.

Fees are for workshops and CEU's only

We ask that you please register early as there is only limited space available!

Check our "Program at a Glance" to see when events are occurring

Conference opens Saturday at 8:00 AM, Speakers start at 8:30 AM, Exhibit Hall open until 6:00 PM

Make check payable to:                                 LDASPF Conference 2005

Fill out Workshop Choices

Because of the late date, unless you can bring your application NO LATER THAN THURSDAY MAY 12 to:

                                                                              LDA SPF

                                                                         415 Cook Avenue

                                                              Scotch Plains, New Jersey 07076

DO NOT MAIL AS IT WOULD NOT GET HERE ON TIME.  

JUST PRINT THE APPLICATION AND BRING IT WITH YOU TO THE CONFERENCE.


Please choose Workshops desired from the listing on our website. As some workshops run concurrently and seating is limited, register early and be sure to include a 2nd choice. Enter the Workshop you want here by entering the Number of the workshop next to the time and day it is being offered. Check the list of workshops on our workshop listings on the web to see the subject matter, information about the workshop presenter and when they are being held.  

Saturday

1st Choice

2nd Choice

Sunday

1st Choice

2nd Choice

10:00 AM

   

10:00 AM

   

11:00 AM

   

11:00 AM

   

3:00 PM

   

3:00 PM

   

4:00 PM

   

4:00 PM

   

Conference 2005    A Message from our President     What You Can Achieve      Speakers     Workshops 

Program at a Glance      Exhibitors       Contact Us     Accommodations    Directions

Questions?    Call 908-322-4020 Ext 5